| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,517 |
45,484 |
$2.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,970 |
30,262 |
$1.87M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,853 |
5,246 |
$483K |
| 99215 |
Prolong outpt/office vis |
5,623 |
4,512 |
$422K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,843 |
3,591 |
$333K |
| 59425 |
|
6,273 |
5,514 |
$311K |
| 90670 |
|
3,288 |
2,976 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,407 |
2,937 |
$152K |
| 59426 |
|
2,678 |
1,852 |
$152K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,236 |
8,299 |
$126K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,031 |
6,325 |
$126K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
212 |
195 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,813 |
4,092 |
$123K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,707 |
882 |
$96K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,379 |
2,012 |
$91K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
10,009 |
5,723 |
$88K |
| 99205 |
Prolong outpt/office vis |
580 |
527 |
$75K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,359 |
955 |
$72K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
11,215 |
5,158 |
$71K |
| 59430 |
|
605 |
571 |
$58K |
| 90698 |
|
1,900 |
1,675 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
722 |
609 |
$49K |
| 90680 |
|
3,247 |
2,868 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,138 |
1,085 |
$46K |
| 90474 |
|
3,243 |
2,850 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
407 |
$37K |
| 27096 |
|
511 |
444 |
$32K |
| 73630 |
|
2,054 |
1,723 |
$29K |
| 90791 |
Psychiatric diagnostic evaluation |
295 |
260 |
$28K |
| 20610 |
|
1,255 |
885 |
$28K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
274 |
251 |
$27K |
| 99460 |
|
407 |
364 |
$26K |
| 95251 |
|
1,459 |
1,107 |
$25K |
| 87634 |
|
473 |
447 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
425 |
410 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
910 |
826 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
825 |
696 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,017 |
364 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
879 |
843 |
$19K |
| 99381 |
|
275 |
240 |
$19K |
| 97597 |
|
970 |
479 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,416 |
3,213 |
$16K |
| 99152 |
|
2,071 |
1,549 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,917 |
1,691 |
$14K |
| 80305 |
|
1,479 |
1,042 |
$13K |
| 11721 |
|
981 |
761 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
123 |
107 |
$9K |
| 90744 |
|
885 |
777 |
$8K |
| 90686 |
|
1,504 |
1,339 |
$8K |
| 62323 |
|
111 |
88 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
721 |
494 |
$6K |
| 94060 |
|
894 |
784 |
$6K |
| 99219 |
|
131 |
101 |
$6K |
| 99304 |
|
525 |
329 |
$5K |
| 94726 |
|
806 |
707 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
81 |
68 |
$5K |
| 99307 |
|
1,804 |
1,103 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
83 |
76 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
113 |
78 |
$4K |
| 99217 |
|
169 |
130 |
$4K |
| 95886 |
|
87 |
57 |
$4K |
| 11056 |
|
189 |
162 |
$4K |
| 94729 |
|
787 |
688 |
$4K |
| 99188 |
|
406 |
374 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
90 |
67 |
$3K |
| 96127 |
|
838 |
504 |
$3K |
| 90716 |
|
223 |
192 |
$3K |
| 81003 |
|
2,311 |
1,982 |
$3K |
| 99305 |
|
119 |
80 |
$2K |
| 51798 |
|
538 |
432 |
$2K |
| 95806 |
|
81 |
66 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
574 |
473 |
$2K |
| 96130 |
|
29 |
26 |
$2K |
| 76830 |
Ultrasound, transvaginal |
103 |
99 |
$2K |
| 87501 |
|
89 |
85 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
115 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
339 |
247 |
$2K |
| 90707 |
|
219 |
187 |
$2K |
| 99354 |
|
48 |
40 |
$2K |
| 98976 |
|
65 |
57 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$1K |
| 90633 |
|
1,230 |
1,169 |
$1K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
30 |
27 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 95811 |
|
13 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
38 |
$1K |
| 94727 |
|
645 |
558 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
124 |
76 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
71 |
70 |
$859.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
69 |
$796.86 |
| 96136 |
|
28 |
25 |
$741.95 |
| 96131 |
|
15 |
13 |
$728.64 |
| 95012 |
|
150 |
116 |
$617.54 |
| 73110 |
|
19 |
15 |
$510.33 |
| 36416 |
|
134 |
114 |
$357.00 |
| 96137 |
|
15 |
13 |
$324.04 |
| 99462 |
|
15 |
13 |
$305.80 |
| 96381 |
|
57 |
43 |
$270.00 |
| 92587 |
|
12 |
12 |
$208.30 |
| 73030 |
|
14 |
12 |
$177.22 |
| 85018 |
|
39 |
39 |
$79.69 |
| 77002 |
|
15 |
12 |
$73.38 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$27.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
62 |
29 |
$22.08 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
687 |
559 |
$14.19 |
| 90671 |
|
1,271 |
1,128 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
227 |
200 |
$0.00 |
| 90685 |
|
60 |
57 |
$0.00 |
| 90700 |
|
78 |
76 |
$0.00 |
| 90648 |
|
37 |
36 |
$0.00 |
| 90380 |
|
35 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90697 |
|
1,713 |
1,509 |
$0.00 |
| 90381 |
|
31 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
145 |
144 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 3044F |
|
28 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |